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I'm not sure what other states do in regards to RSS but in Minnesota

they have a program called TEFRA (part of MA) that covers all the costs

for my RSS daughter, including growth hormone and needles. When I had

her on a regular HMO, the co-pays literally bankrupted. I applied for

MA for my daughter, got her certified as disabled due to her feeding

needs and have had no worries since.

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  • 2 months later...

Hi Nky_guy77

My OMS is out of network for my insurance (an employer self funded

program). His fee is $14000, of which I have to pay 20% or $700.

The maximum out of pocket I have with our plan is $1000. I lucked

out that the hospital is in our network, so I have no copay. So I

am thinking that I will just have to pay $700. At most I would pay

$1000 for the surgery itself. I did not have any coverage for the

braces, which was $5800. You might want to check with your

insurance company or your OMS insurance specialist in the office to

see how this might break down for you. Sometimes there is a single

procedure cap on your coverage. So past a certain copay, you do not

owe further for the surgeons, anesthesiologits, hospital, labs etc

for the single procedure. I hope that is the case for you.

It does bring up a good point though. If you are preop, ask your

OMS office specialist who deals with insurances to do an estimate

for you before you sign on the dotted line. Dr Wests office gave me

a quote, including insurance benefits applicable to the billing, at

my consult. Knowing what you are facing as far as billing goes lets

you plan ahead, especially given the long lead time common to this

surgery. Wishing us all good luck with this!!

Hugs,

Fran

>

> hey all I just got the bill from my surgeon, total cost for him

was

> $8450, on the bill under insurance estimated says $5880, part I

owe

> $2750. I really never got a surgery before only used my insurance

> for doctor visits and such, I had no idea it was gonna cost me

that

> much? I have blue cross/blue shield and its suppose to be pretty

> good I thought.

>

> I guess the hospital bill will be coming soon and I have no idea

how

> much that is going to be, I had to get two surgeries done so I was

> in the hospital twice, once for 23 hours and the other I went

> directly home.

>

> Im going to call my insurance company up and get some more details

> and ask them if this is correct but I will have to wait until I

can

> speak, Im wired now and talking is tough

>

> I was curious what some of you paid out of pocket for your

surgery,

> and will the hospital bill be more than the surgeon bill? I think

I

> have a $500 deductible and I knew I would have to pay some after

> that and now im scared of the hospital bill coming.

>

> just wondering what some other people had to pay?

>

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Hi,

I am in a similar position. I have insurance with UHC PPO that covers 80%

for the out-of-network surgeon (and my surgeon is out of network).

I haven't received the insurance payment details (it is only a little over

5 weeks since the surgery).

Some questions :

1. The hospital where the surgery was done is in-network, but, the

anasthesiologist wasn't. Looks like I would have to foot 20% of his charge

( about $450).

Since, the hospital is contracted, and I could not have chosen an

in-network anasthesiologist, doesn't the insurance usually pay at in-network

rate (100%)?

2. I am told that the insurance would pay 80% of Usual and customery charge

for the surgery. My OS (and his assistant) have a charge of about $26k.

The Usual & Customary charge, I fear, can be considerabily lower than what

the doctor has charged, in which case I would have to pay for the difference

out of my pocket.

What does the maximum-out-of-pocket mean in this case? does it cover for

the difference between the doctor's charges and the insurance's Usual &

customary?

I am really dreading having to pay a lot out-of-pocket. Looks like doctors

here in bay-area charge a lot more (and did I mention that I have spent

about 6.5k for my braces).

Thanks,

sriram

_____

From: orthognathicsurgerysupport

[mailto:orthognathicsurgerysupport ] On Behalf Of fran

Sent: Friday, November 04, 2005 8:52 AM

To: orthognathicsurgerysupport

Subject: Re: insurance coverage

Hi Nky_guy77

My OMS is out of network for my insurance (an employer self funded

program). His fee is $14000, of which I have to pay 20% or $700.

The maximum out of pocket I have with our plan is $1000. I lucked

out that the hospital is in our network, so I have no copay. So I

am thinking that I will just have to pay $700. At most I would pay

$1000 for the surgery itself. I did not have any coverage for the

braces, which was $5800. You might want to check with your

insurance company or your OMS insurance specialist in the office to

see how this might break down for you. Sometimes there is a single

procedure cap on your coverage. So past a certain copay, you do not

owe further for the surgeons, anesthesiologits, hospital, labs etc

for the single procedure. I hope that is the case for you.

It does bring up a good point though. If you are preop, ask your

OMS office specialist who deals with insurances to do an estimate

for you before you sign on the dotted line. Dr Wests office gave me

a quote, including insurance benefits applicable to the billing, at

my consult. Knowing what you are facing as far as billing goes lets

you plan ahead, especially given the long lead time common to this

surgery. Wishing us all good luck with this!!

Hugs,

Fran

>

> hey all I just got the bill from my surgeon, total cost for him

was

> $8450, on the bill under insurance estimated says $5880, part I

owe

> $2750. I really never got a surgery before only used my insurance

> for doctor visits and such, I had no idea it was gonna cost me

that

> much? I have blue cross/blue shield and its suppose to be pretty

> good I thought.

>

> I guess the hospital bill will be coming soon and I have no idea

how

> much that is going to be, I had to get two surgeries done so I was

> in the hospital twice, once for 23 hours and the other I went

> directly home.

>

> Im going to call my insurance company up and get some more details

> and ask them if this is correct but I will have to wait until I

can

> speak, Im wired now and talking is tough

>

> I was curious what some of you paid out of pocket for your

surgery,

> and will the hospital bill be more than the surgeon bill? I think

I

> have a $500 deductible and I knew I would have to pay some after

> that and now im scared of the hospital bill coming.

>

> just wondering what some other people had to pay?

>

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Sriram - I am in the Bay area as well and in the same

situation. I'm going to be paying about $6,500.

After you meet the out of pocket maximum you will be

covered at 100% up to reasonable and customary.

You're responsible for the difference. If R & C is

deemed to be $6,000 and the bill is $10,000, you're

responsible for the $4,000 difference in addition to

any coinsurance.

You can challenge the anesthesia bill to be paid at

in-network due to it being out of your control but you

will need to write a letter of appeal and state your

argument.

Hope this all helps.

Thanks,

Kim

__________________________________

Yahoo! Mail - PC Magazine Editors' Choice 2005

http://mail.yahoo.com

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